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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 054500738
Report Date: 05/18/2023
Date Signed: 05/18/2023 10:20:55 AM

Document Has Been Signed on 05/18/2023 10:20 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
FACILITY NAME:SARAH KELLY'S CHILD CARE & LEARNING CENTERFACILITY NUMBER:
054500738
ADMINISTRATOR:SAMANTHA ARTIAGAFACILITY TYPE:
850
ADDRESS:4423 SIX MILE ROADTELEPHONE:
(209) 263-2295
CITY:ANGELS CAMPSTATE: CAZIP CODE:
95222
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 0DATE:
05/18/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Sarah KellyTIME COMPLETED:
10:30 AM
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Application Specialist (AS) Alecia Sifuentes met with Licensee Sarah Kelly for the purpose of a case management inspection. Licensee requests a room change and has provided AS with updated indoor facility sketch. Licensee is not making any changes to the capacity. The program currently operates Monday through Friday from 7:00 a.m. to 6:00 p.m.

INDOOR ACTIVITY SPACE:
There are four preschool classrooms. Licensee is conducting a room change for preschool classroom four (previously toddler classroom). AS observed a sufficient amount of equipment, toys, tables, chairs, cubbies, and napping cots. AS used current measurements. The total classrooms space contains a total of 874 square feet, which will accommodate Licensee’s current capacity of 24 preschool children. There are four toilets and four sinks for the children.

Licensee was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the Licensee Sarah Kelly.

Effective today, 5/18/2023, AS will approve the preschool room change.
SUPERVISORS NAME: Jeanne Smith
LICENSING EVALUATOR NAME: Alecia Sifuentes
LICENSING EVALUATOR SIGNATURE: DATE: 05/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/18/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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